Individual
BROOKE GOTTESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 TARA LN, DIX HILLS, NY 11746-7133
(516) 375-1975
(631) 940-7691
Mailing address
6 TARA LN, DIX HILLS, NY 11746-7133
(516) 375-1975
(631) 940-7691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069778-1
NY
Other
Enumeration date
03/31/2010
Last updated
05/11/2022
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